- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.68 / $7.58 / $8.27
| Facility | | $5.68 | $7.58 | $8.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $8.27 / $8.27
| Professional | | $5.50 | $8.27 | $8.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.21 / $14.79 / $17.28
| Professional | | $11.21 | $14.79 | $17.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.89 / $8.27 / $10.34
| Professional | | $6.89 | $8.27 | $10.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.89 / $8.27 / $13.37
| Professional | | $2.89 | $8.27 | $13.37 |
University Health Alliance - Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.72 / $12.51 / $17.32
| Professional | | $7.72 | $12.51 | $17.32 |